Shane Michell Jackson
LPC | Addiction (Substance Use Disorder) Counselor
115 W Tyler St, Gilmer
Texas, 75644-2239
903-746-7643 903-843-4336
Maps & DirectionsShane Michell Jackson is a Gilmer, Texas based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Shane Michell Jackson is 4128 for Addiction (Substance Use Disorder) Counselor in Texas. Her current practice location is 115 W Tyler St, Gilmer. Patients can book an appointment with her at 903-746-7643.
Shane Michell Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Shane Michell Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Shane Michell Jackson |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 115 W Tyler St, Gilmer,
Texas, 75644-2239 |
| Phone: | 903-746-7643 |
| Fax: | 903-843-4336 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922173897 |
| NPI Enumeration Date: | 22 Nov, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Michell Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 4128 | Addiction (Substance Use Disorder) Counselor | Texas | Primary | |
| 16480 | Mental Health Counselor | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shane Michell Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 16480 | Other | Texas | LPC |
| 4128 | Other | Texas | LCDC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1551,
Gilmer, Texas |
| Zip: | 75644-1551 |
| Phone Number: | 903-746-7643 |
| Fax Number: | 903-843-4336 |
Patients can reach Shane Michell Jackson at
115 W Tyler St, Gilmer, Texas or can
call to book an appointment on 903-746-7643.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.